| NPI | 1053039883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ISHII Senior Vice President Of Operations 410-583-7185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2022-08-18 |